Management of Concussion and Mild Traumatic Brain Injury: A Synthesis of Practice Guidelines

Arch Phys Med Rehabil. 2020 Feb;101(2):382-393. doi: 10.1016/j.apmr.2019.10.179. Epub 2019 Oct 23.

Abstract

At least 3 million Americans sustain a mild traumatic brain injury (mTBI) each year, and 1 in 5 have symptoms that persist beyond 1 month. Standards of mTBI care have evolved rapidly, with numerous expert consensus statements and clinical practice guidelines published in the last 5 years. This Special Communication synthesizes recent expert consensus statements and evidenced-based clinical practice guidelines for civilians, athletes, military, and pediatric populations for clinicians practicing outside of specialty mTBI clinics, including primary care providers. The article offers guidance on key clinical decisions in mTBI care and highlights priority interventions that can be initiated in primary care to prevent chronicity.

Keywords: Brain concussion; Brain injuries, traumatic; Practice guidelines as topic; Rehabilitation; Review.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Athletes
  • Biomarkers
  • Brain Concussion / diagnosis*
  • Brain Concussion / diagnostic imaging
  • Brain Concussion / physiopathology
  • Brain Concussion / therapy*
  • Humans
  • Military Personnel
  • Patient Education as Topic / organization & administration
  • Pediatrics
  • Practice Guidelines as Topic*
  • Primary Health Care
  • Prognosis
  • Referral and Consultation
  • Return to Sport
  • United States

Substances

  • Biomarkers